NPI | 1285253542 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX 48116) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL ME163257) |
208000000X Pediatrics (Licence: TX 48116) | |
Enumeration Date | 2020-04-15 |
Last Update Date | 2024-04-16 |